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For maximal protection against hepatic injury - administer ACETADOTE within 8-10 hours post-ingestion
  • Short, 21-hour I.V. infusion vs 72-hour oral administration
  • 3-dose I.V. treatment vs 18-dose oral regimen
  • Accurate dosing—no nausea or vomiting due to taste and smell
  • Approved for pediatric dosing

ACETADOTE, administered intravenously within 8 to 10 hours after ingestion of a potentially hepatotoxic quantity of acetaminophen, is indicated to prevent or lessen hepatic injury.

About Acetaminophen Overdose

Acetaminophen is the most common substance involved in drug ingestions reported to U.S. poison control centers.1

Based on data from the American Association of Poison Control Centers (AAPCC), acetaminophen was involved in approximately 120,000 poisoning exposures in the United States in 2007.1 Of these reported exposures, only about 30,000 were treated.1

Acetaminophen can be found in >600 Rx and OTC products.2 When ingested in quantities of 150 mg/kg or more, acetaminophen can lead to hepatic toxicity and death.3

About ACETADOTE

The only FDA-approved I.V. acetylcysteine for acetaminophen overdose.

ACETADOTE, introduced in the United States in 2004 and currently used in more than 3,000 hospitals across the U.S., is a safe and efficacious treatment for acetaminophen overdose when administered within 8-10 hours post-ingestion. With a 3-dose, 21-hour I.V. NAC infusion, ACETADOTE is the shortest FDA-approved treatment regimen.

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Important Safety Information

ACETADOTE is contraindicated in patients with hypersensitivity or previous anaphylactoid reactions to acetylcysteine or any components of the preparation. Serious anaphylactoid reactions, including death in a patient with asthma, have been reported in patients administered acetylcysteine intravenously.

ACETADOTE should be used with caution in patients with asthma, or where there is a history of bronchospasm. The total volume administered should be adjusted for patients less than 40 kg and for those requiring fluid restriction. To avoid fluid overload, the volume of diluent should be reduced as needed. If volume is not adjusted, fluid overload can occur, potentially resulting in hyponatremia, seizure, and death.

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1. Bronstein AC, Spyker DA, Cantilena JR, et al. 2007 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 25th Annual Report. Clin Tox 2008; 46;10:927-1057.
2. FDA launches consumer campaign on safe use of OTC pain products [press release]. Rockville, MD: US Food and Drug Administration; January 22, 2004.
3. ACETADOTE Package Insert.